NPI | 1659080463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT25013) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT25013) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |